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1 02 7 September 16, 1898 


Report on smallpox in Constantinople. 

[Report No 199.] 

Constantinople, August 25, 1898. 

Sir : I have the honor to report that according to the official state- 
ments there exists an epidemic of typhoid fever at Grevena in Mace- 
donia. The disease was imported from Thessalia, in Greece, where, 
during the occupation by the Turkish troops, a wide-spread epidemic 
of typhoid fever broke out among the troops. 

In the province of Lebanon there exists an epidemic of smallpox. 
The latter disease, as well as whooping cough, exists always in Con- 
stantinople. I am glad to state that the local authorities are doing 
their best to check the epidemic of smallpox, but in spite of their 
efforts the disease still rages. Stringent laws and regulations have 
been issued, but many persons, mainly foreign subjects, are unwilling 
to submit to sanitary measures. Physicians have been appointed 
to inspect the houses and vaccinate. Thousands have been vaccinated, 
but I am sorry to report that several foreign subjects have refused 

From the 8th to the 21st instant 427 deaths have been registered, 
of which 2 were from measles, 1 from diphtheria, 12 from smallpox, and 
5 from typhoid fever. 

I have the houor to forward a French copy of Dr. Cozzouis' report on 
the outbreak of bubonic plague in Djiddah. Dr. Cozzouis is the 
inspector-general of the sanitary service of Turkey. 

Spiridion C. Zavitziano, 
United States Sanitary Commissioner. 


Bahamas — Dunmore Town. — Two weeks ended August 30, 1898. 
Estimated population, 1,472. No deaths and no contagious diseases. 

Governors Harbor. — Two weeks ended August 29. Estimated popu- 
lation, 1,500. No deaths and no contagious diseases. 

Green Turtle Cay — Abaco. — Two weeks ended August 28. Estimated 
population, 3,900. No deaths and no contagious diseases. 

Bermuda. — Two weeks ended August 26, 1898. Estimated popula- 
tion, 15,013. Total number of deaths, 2. No contagious diseases. 

Canada — Hamilton.— Month of August, 1898. Estimated popula- 
tion, 50,000. Total number of deaths, 50. No deaths from contagious 

Fiji Islands — Po>t Stanley. — Fifteen weeks ended July 16, 1898. 
Estimated population, 1,952. No deaths from disease and no conta- 
gious diseases. 

France — Rouen. — Month of July, 1898. Estimated population, 
112,657. Total number of deaths, 293, including enteric fever 3, and 31 
from phthisis pulmonalis. 

Great Britain — England and Wales. — The deaths registered in 33 
great towns in England and Wales during the week ended August 27 

September 16, 1898 1028 

correspond to an annual rate of 23.2 a thousand of the aggregate popu- 
lation, which is estimated at 11,218,378. The highest rate was recorded 
in Wolverhampton, viz, 38.5, and the lowest in Huddersfield, viz, 

London. — One thousand eight hundred and fifty-six deaths were 
registered during the week, including measles, 20 ; scarlet fever, 17 ; 
diphtheria, 21; whooping cough, 32; enteric fever, 9, and diarrhea 
and dysentery, 463. The deaths from all causes correspond to an annual 
rate of 21.5 a thousand. In greater London 2,626 deaths were regis- 
tered, corresponding to an annual rate of 21.4 a thousand of the 
population. In the "outer ring" the deaths included 3 from measles, 
9 from diphtheria, and 12 from whooping cough. 

Ireland. — The average annual death rate represented by the deaths 
registered during the week ended August 27 in the 23 principal town 
districts of Ireland was 23.0 a thousand of the population. The lowest 
rate was recorded in Tralee, viz, 0.0, and the highest in Newtownwards, 
viz, 62.4 a thousand. In Dublin and suburbs 150 deaths were regis- 
tered, including diphtheria, 2, and enteric fever, 3. 

Scotland.^- The deaths registered in 8 principal towns during the week 
ended August 27 correspond to an annual rate of 18.4 a thousand of the 
population, which is estimated at 1,568,536. The lowest mortality was 
recorded in Perth, viz, 11.9, and the highest in Paisley, viz, 28.9 a 
thousand. The aggregate number of deaths registered from all causes 
was 556, including diphtheria, 2; measles, 8; scarlet fever, 5, and 
whooping cough, 27. 

Guiana — Demerara. — Month of July, 1898. Estimated population, 
86,250. Total number of deaths, 235. No contagious diseases. 

Jamaica — Kingston. — Two weeks ended August 27, 1898. Esti- 
mated population, 34,314. Total number of deaths not reported. Two 
deaths from enteric fever. 

Nova Scotia — Windsor. — Month of August, 1898. Estimated popu- 
lation, 7,985. Total number of deaths, 2. No contagious diseases 

Russia — Riga. — Month of June, 1898. Estimated population, 
282,000. Total number of deaths, 541, including diphtheria, 5; enteric 
fever, 5 ; measles, 2 ; scarlet fever, 6 ; whooping cough, 7, and 59 from 
phthisis pulmonalis. 

St. Helena. — Eight weeks ended August 6, 1898. Estimated popu- 
lation, 4,000. Total number of deaths, 10. No contagious diseases. 

Uruguay — Montevideo. — Month of June, 1898. Estimated popula- 
tion, 250,452. Total number of deaths, 271, including diphtheria, 2 ; 
yellow fever, 2, and 31 from phthisis pulmonalis. Deaths from yellow 
fever occurred in the lazaretto at the island of Flores.